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However, hydra-zine bonds can undergo hydrolysis in plasma causing the unintended release of drug molecules leading to systemic toxicity 116

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Two studies directly tested this hypothesis with one negative trial showing no vasodilation (Lauer et al ., 2001) and a second positive study showing significant forearm circulation vasodilation at both pharmacological and slightly supraphysiological concentrations (Cosby et al ., 2003)

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